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General NPI Number Information
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NPI Number | 1891961256
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Entity Type | Organization
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Legal Business Name | ST AGNES CAREGIVERS INC
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 2419 CROCKETT MARTIN RD
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City | CONROE
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State | TX
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Zip | 77306-6276
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Country | US
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Telephone | 832-419-1152
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Fax | 936-264-1927
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Provider Business Mailing Address
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Address Line | PO BOX 2269
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City | STAFFORD
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State | TX
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Zip | 77497-2269
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Country | US
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Telephone | 832-419-1152
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MRS. ANIEFIOK INNOCENT USORO
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Credential |
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Telephone | 832-419-1152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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